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Older Adults With Hip Arthroplasty: An Individualized Transitional Care Program

 YoungJi Ko  ;  JuHee Lee  ;  EuiGeum Oh  ;  MoNa Choi  ;  ChangOh Kim  ;  KiWol Sung  ;  SeungHoon Baek 
 REHABILITATION NURSING, Vol.44(4) : 203-212, 2019 
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Issue Date
Functional decline ; hip arthroplasty ; individualized transitional care program ; older adult
BACKGROUND: Most older adults with hip fracture surgery experience functional decline (FD), causing devastating outcomes. However, few studies have examined the effects of nursing interventions to reduce FD for them. PURPOSE: The aim of the study was to evaluate an individualized transitional care program (ITCP) to reduce FD for older adults with hip arthroplasty. METHODS: The study was quasiexperimental, with a nonequivalent control group design. A total of 37 participants scheduled for hip arthroplasty were recruited-21 in the experimental and 16 in the control group. FINDINGS: Two weeks following surgery (i.e., just prior to discharge), the ITCP group displayed less fear of falling than the usual care group. Moreover, the experimental group displayed objectively less FD with increased activities of daily living and Timed Up and Go scores, 6 weeks after hip arthroplasty. CONCLUSIONS: This study provides evidence of the effectiveness of nurse-led rehabilitative practices to reduce FD in older adults with hip arthroplasty. CLINICAL RELEVANCE: The ITCP promoted individual physical functioning for older adults with hip arthroplasty. This study results can aid healthy transitions of elderly patients with other various diseases.
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
3. College of Nursing (간호대학) > Dept. of Nursing (간호학과) > 1. Journal Papers
Yonsei Authors
Kim, Chang Oh(김창오) ORCID logo https://orcid.org/0000-0002-0773-5443
Oh, Eui Geum(오의금) ORCID logo https://orcid.org/0000-0002-6941-0708
Lee, JuHee(이주희) ORCID logo https://orcid.org/0000-0002-2805-1622
Choi, Mona(최모나) ORCID logo https://orcid.org/0000-0003-4694-0359
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